as part of the djo™ family, aircast remains committed to ...€¦ · as part of the djo™...

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As part of the DJO™ family, Aircast ® remains committed to improved medical outcomes through the use of innovative medical technologies and sound scientific methods. For over 30 years, Aircast has helped medical professionals worldwide provide functional treatment options for their patients. By using the concept of “Functional management” as the principal behind innovative product designs, Aircast pioneered the functional management of ankle sprains using patented technology and graduated, pneumatic compression. Applying the science of graduated, pneumatic compression and advanced technology as a platform, Aircast has a range of products designed to improve patient care. DJO’s commitment is to continue providing scientifically-based, innovative solutions to improve medical outcomes, help enhance patient quality of life, and achieve total customer satisfaction. 1

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Page 1: As part of the DJO™ family, Aircast remains committed to ...€¦ · As part of the DJO™ family, ... pneumatic compression and advanced technology as a platform, ... Braced for

As part of the DJO™ family, Aircast® remains committed to improved medical outcomes through theuse of innovative medical technologies and sound scientific methods. For over 30 years, Aircast hashelped medical professionals worldwide provide functional treatment options for their patients.

By using the concept of “Functional management” as the principal behind innovative productdesigns, Aircast pioneered the functional management of ankle sprains using patented technologyand graduated, pneumatic compression.

Applying the science of graduated, pneumatic compression and advanced technology as a platform,Aircast has a range of products designed to improve patient care.

DJO’s commitment is to continue providing scientifically-based, innovative solutions to improvemedical outcomes, help enhance patient quality of life, and achieve total customer satisfaction.

1

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Lower Extremity Brace

Air-Stirrup® Ankle Brace Air-Stirrup II®

Air-Stirrup® Universe™ Leg Brace

Dorsal Night Splint AirHeel™

AirLift™ PTTD Brace Infrapatellar Band

AirSport®/AirGo™

Walking BraceXP Pneumatic Walker™

SP Pneumatic Walker™

FP Pneumatic Walker™

Achilles Walker

XP Pneumatic Walker™ Diabetic System

Upper Extremity Brace

StabilAir™ Mayo Clinic Elbow Brace

A2™ Wrist Brace ARC™ Forearm Rotational Brace

Arm Immobilizer Armband

Cryo-Compression Therapy (Cryo/Cuff TM)

Cooler CalfCooler Hanger ThighAutoChill® System Hand and WristFoot ElbowAnkle ShoulderKnee Back/Hip/RibKnee SC (without cooler) Paediatric

Vascular SystemsVenaFlow® SystemVenaFlow® Cuffs (Calf, Foot, Thigh)

Disposable Calf Cuff Cover and Reusable AircellArterialFlow® System

Knee BraceKnee ImmobilizerKnee Tester (Rolimeter™)

AirLimb

CMF OL1000 Bone Growth Stimulator

MAYO, MAYO CLINIC, and MAYO CLINIC ELBOW BRACE are trademarks of MAYO Foundation for Medical Education and Research.

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Lower Extremity Brace

1. AAOS Co-Developed by the American Orthopaedic Foot and Ankle Society, March 2005 2. TIEMSTRA J D, Am Fam Physician June 15 Vol. 85 No.12 2012 3. Boyd A et al., Am Fam Physician 80(5):491-499, 2009 4. Boyce SH et al., Br J Sports Med. 39: 91-96, 2003 5. Kemler E et al., SportsMed 41(3): 185-197, 2011 6. Kerkhoffs GMMJ et al., The Cochrane Library, 2009, Issue 1 Refer to page 9 for other references

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Ankle sprain is a ligament injury. The major movements of the ankle - plantarflexion and dorsiflexioncan be maintained after sprain and should not be restricted. Current American Academyof Orthopaedic Surgeons & American Academy of Family Physician guidelines for ankle sprainmanagement1-3 discourage complete immobilization e.g. by cast and recommend the useof removable, functional ankle brace, which reduces swelling and pain, encourages earlymobilization 2-3 days post-injury, speeds up recovery while protecting the injured ligaments.

Numerous studies have shown that Aircast Air-Stirrup is the standard of care for acute ankle sprain:

• Protect the injured ankle by effectively restricting inversion/eversion while allowing full range ofmotion for the ankle joint (Alves 1992)

• Reduce swelling by 60% within 5 days4 (Kerkhoffs 2007)

• Allow fully return to work and sports 8-13 days earlier5-6

• Is superior than cast in terms of functional recovery, quality of life, lower risk of complications and50% lower in treatment cost1-6 (Sommer 1993, McGrew 2003, Beynnon 2006, Lamb 2009).

• A Cochrane review (>850 subjects) shows that Aircast Air-Stirrup® Ankle Brace is the more effectivethan other external support (Kerkhoffs 2007)

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• Anatomical shells, de-signed for the left or rightleg, to provide protection,comfort and inversion/eversion prevention.

• Patented DuplexTM aircell system to reduce swellingand pain by enhanced circulation.

• Pre-inflated aircells for easy application.

• Streamlined to fit in shoes for early protected weightbearing.

Air-Stirrup® Ankle Brace

Indication: Acute injury; Post-op; Ankle sprains grade I, II, III;Chronic instability

Description Patient Height Left Right

Small <5’2” (<1,57 m) 02CL 02CR

Medium 5’2”–5’6” (1,57–1,67 m) 02BL 02BR

Large >5’4” (>1,62 m) 02AL 02AR

Paediatric little children 02JL 02JR

Indication:Acute injury; Post-op; Ankle Sprains (grade I, II, & III)

Air-Stirrup II®• Same support and protec-

tion as the classicalAirstirrup.

• The aircell is enhancedwith a spacer mesh linerthat provides additionalcomfort and air circula-tion.

• New “step-in” strappingconfiguration allows foreasy application andmore uniform pressurearound the ankle.

Description Patient Height Left Right

Small <5’2” (<1,57 m) 02VSL 02VSR

Medium 5’2”–5’6” (1,57–1,67 m) 02VML 02VMR

Large >5’4” (>1,62 m) 02VLL 02VLR

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Air-Stirrup® Universe™

Indication: Ankle sprains; chronic ankle instabilities

• Patented Duplex aircell system to reduce swellingand pain by enhanced circulation.

• Universal size

Description P/N

Air-Stirrup Universe 02E

Leg Brace• Provides functional man-

agement of stress frac-tures and stable fracturesof the lower leg.

• Can be ordered alone orwith an optional AnteriorPanel for additional tibialprotection.

• Long sock included.

Description Patient Height Left Right

Small <5’2” (<1,57 m) 03CL 03CR

Small with <5’2” (<1,57 m) 03DL 03DRAnterior Panel

Medium >5’2” (>1,57 m) 03AL 03AR

Medium with >5’2” (>1,57 m) 03BL 03BRAnterior Panel

Indication: Stress fracture; Stable fracture

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• Provides a superior combination ofeffective support and protection,comfort and simplified application.

• The patented A60 stabilizer moldedat a 60 degree angle on both sidesof the ankle guard against inver-sion.

• Breath-O-Prene® material, ensuresthat the wearer stays comfortablycool and dry.

• Light-weight anatomic design easilyfits in athletic footwear.

• Applied and adjusted with a singlestrap - replacing time-consuminglacing and costly, repetitive taping.

AirSport™

Indication: Acute ankle sprain; Post-op (tendon rupture andankle fracture); Chronic instability; Prophylaxis

• Incorporates proven Air-Stirrup®

Ankle Brace features withadditional compression andstabilization provided by theAirSport’s patented ATFcross-strap and integral midfootand shin wraps.

• The unique “step-in” design(toes first into the back of thebrace) and automatic heeladjustment simplify application.

A60

Indication: Chronic ankle instabilities; Support and protectionfor ankles; Prophylaxis

Shoe SizeDescription (US) (Europe) (UK) Left RightSmall man: ≤7 ≤40 ≤6.5 02TSL 02TSR

women: ≤8.5Medium man: 7.5-11.5 41-44 7-10.5 02TML 02TMR

women: 9-13Large man: 12+ 45+ 11+ 02TLL 02TLR

women: 13.5

Shoe SizeDescription (US) (Europe) (UK) Left RightXSmall man: ≤5 ≤36 ≤3.5 02MXSL 02MXSR

women: ≤5Small man: 5.5-7 37-40 4-6.5 02MSL 02MSR

women: 5.5-8.5Medium man: 7.5-11 41-44 7-10.5 02MML 02MMR

women: 9-12.5Large man: 11.5-13 45-47 11-13 02MLL 02MLR

women: 13-14.5XLarge man: 13.5+ 48+ 13.5+ 02MXLL 02MXLR

women: 15+

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Dorsal Night Splint

Indication: Plantar Fascitis

• Optimal dorsiflexionadjustment for cus-tom stretch and opti-mal comfort for painrelief from PlantarFasciitis.

• Easy application withflexible hinge designand three-point pli-able softgood adjust-ment.

• Secure fit with option-al assist strap.

Shoe SizeDescription Men Women P/NS/M 5 - 9 1/2 6 - 10 1/2 09DSL/XL 10 - 14 11 - 15 09DL

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• Aircells located under thefoot arch and in the heelarea transfer air withevery step, creatingpulsating compressionthat reduces swelling andenhances circulation.

• Reduces plantar pressureand provides fast painrelief.

• Just slip it on like a sockand adjust the fit withone strap.

AirHeel™

Indication: Achilles tendonitis; Plantar fasciitis; Heel pain

Shoe SizeDescription (US) (Europe) (UK) P/NSmall man: ≤7 <39 <6 09A-S

women: ≤8.5Medium man: 7.5-11.5 39-42 6-8 09A-M

women: 9-13Large man: 11.5+ >42 >8 09A-L

women: 13+

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Indication: Osgoode Schlatter; Patella tendonitis

Description Circumference P/N

Black 25–43 cm 08A-B

Infrapatellar Band• An aircell focuses com-

pression on the patellartendon.

• Helps to decrease stress atthe tibial tubercle.

• Available in beige andblack. Universal fit.

• Adjustable arch aircell forindividualized supportand comfort.

• Anatomically designedshells for secure ankle sta-bility.

• Rear entry design andsimple two strap applica-tion promote ease of useand compliance.

AirLift™ PTTD Brace

Indication:Posterior tibialis tendon dysfunction or adult acquired flat foot Post-op and rehabilitation

Shoe SizeDescription (US) (Europe) (UK) Left RightSmall man: <7 ≤38 ≤7 02PSL 02PSR

women: <8.5Medium man: 7.5-11 39-42 8-10 02PML 02PMR

women: 9-12.5Large man: 11.5+ 43+ 11+ 02PLL 02PLR

women: 13+

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Ankle Brace ReferencesProphylactic Ankle Brace Use in High School Volleyball Players: A Prospective StudyFrey et al. FAI, April 2010

Mechanical supports for acute, severe ankle sprain:a pragmatic, multicentre, randomised controlled trialS E Lamb, et al, The Lancet Vol 373 February14, 2009

Treatment of severe ankle sprain: a pragmatic randomised controlled trial comparing the clinical effective-ness and cost-effectiveness of three types of mechanical ankle support with tubular bandage. The CAST trial Cooke et al., HTA February 2009

Surgical versus conservative treatment for acute injuries of the lateral ligament complex of the ankle in adultsKerkhoffs GMMJ, et al., The Cochrane Library,2007, Issue 4

Stabilizing effects of ankle bracing under a combination of inversion and axial compression loadingTohyama et al., Knee Surg Sports Traumatol Arthrosc 2006; 14: 373–378

A Prospective, Randomized Clinical Investigation of the Treatment of First-Time Ankle Sprains Beynnon et al., Am. J. Sports Med. 2006; 34; 1401

Management of ankle sprains: a randomized controlled trial of the treatment of inversion injuries using anelastic support bandage or an Aircast ankle braceS H Boyce, M A Quigley and S Campbell: Br J Sports Med, Feb 39(2): 91-96, 2005

The Effects Of Three Ankle Braces On Athletic PerformanceGodfrey A, et al: Auckland University of Technology and New Zealand Soccer, Poster Presented at the SportsMedicine New Zealand Conference in Queenstown, 2005

Ankle Barcing is Cheaper and Quicker than Taping Bottoni CR, et al: Orthopedic Today September: 86, 2005

Managing ankle injuries: Follow the rules? Reuss BL: Journal of Musculoskeletal Medicine 21(3): 155-165, 2004

Prophylactic Ankle Taping and Bracing: A Numbers-Needed-to-Treat and Cost-Benefit Analysis Olmsted LC, Vela LI, Denegar CR, et al: Journal of Athletic Training 39(1): 95-100, 2004

Ankle Dislocation Without Fracture.Mark Tranovich, MD: The Phy and Sports Med 31(5): 2003

Ankle Sprains: 20 Clinical Pearls McGrew, CH, Schenck RC: Journal of Musculoskeletal Medicine, 20(1): 343, 2003

The Prevention of Ankle Sprains in Sports - A Systematic Review of the LiteratureThacker S B, et al: Am J Sports Med 27: 753, Nov 1999

Conservative Therapy for Acute Lateral Ligament Lesions: Single Chamber vs. Two-Chamber OrthosisSystems Schmidt R, Meiners S, Reintges H, et al: Surgery Dept of the Federal Army Hospital, Ulm, Germany, 1999

Influence Straping, Taping and Nine Braces, A Stress Roentgenologic Comparison Peter H, et al: J Sport Rehabilitation 7: 157-171, 1998

A Randomized, Prospective Study of Operative and Non-operative Treatment of Injuries of the FibularCollateral Ligaments of the Ankle. Povacz P, Salzburg F, Wels KM, et al: Journal of Bone and Joint Surgery 80A(3): 345-351, 1998

Braced for Impact: Reducing Military Paratroopers' Ankle Sprains Using Outside-the-Boot Braces Amoroso PJ, Ryan JB, Bickley B, et al: Journal of Trauma: Injury, Infection and Critical Care 45(3): 575-580,1998

Stable Lateral Malleolar Fractures Treated with Aircast Ankle Brace and DonJoy R.O.M.-Walker Brace: AProspective Randomized Study Brink O, Staunstrup H, Sommer J: Foot and Ankle International 17(11): 679-684, 1996

The Ankle Joint: the Evaluation and Treatment of Sprains Walgenbach A: Nurse Practitioner Forum 7(3): 120-124, 1996

The Effects of Semirigid Air-Stirrup Bracing vs. Adhesive Ankle Taping on Motor Performance Verbrugge JD: Journal of Orthopedic Sport Physical Therapy 23(5): 320-325, 1996 9

A Study to Evaluate the Effectiveness of 'Air-Stirrup' Splints as a Means of Reducing the Frequency of AnkleHaemarthroses in Children with Haemophilia A and B Buzzard BM, Heim M: Haemophilia 1: 131-136, 1995

Treatment of Acute Ankle Sprain: Comparison of a Semi-Rigid Ankle Brace and Compression Bandage in 73Patients Leanderson J, Wredmark T: Acta Orthopaedica Scandinavica 66(6): 529-531, 1995

A Fivefold Reduction in the Incidence of Recurrent Ankle Sprains in Soccer Players Using the Sport-Stirrup Orthosis Surve I, Schwellnus MP, Noakes T, et al: Am J Sports Med 22(5): 601-606, 1994

Early Mobilization Versus Immobilization in the Treatment of Lateral Ankle Sprains Eiff PM, Smith AT, Smith GE: Am J Sports Med 22(1): 83-88, 1994

The Efficacy of a Semirigid Ankle Stabilizer to Reduce Acute Ankle Injuries in Basketball Sitler M, Ryan J, Wheeler B, et al: Am J Sports Med 22(4): 454-461, 1994

A New Concept in Fracture Immobilization Dale PA, Bronk JT, O'Sullivan ME, et al: Clinical Orthopedics and Related Research 295: 264-269, 1993

Air-Stirrup Bracing for Patients with Hemiparesis Hayes K, Carvalho Jr N: Clinical Management 3(4): 50, 1993

Early Functional Conservative Therapy of a Fresh Fibular Rupture of the Capsular Ligament from aSocioeconomic Point of View Sommer HM, Schreiber R: Sportverletzung. Sportschaden 7: 40-46, 1993

A Comparison of the Passive Support Provided by Various Ankle Braces Alves JW, Alday RV, Ketcham DL, et al: Journal of Orthopedic Sport Physical Therapy 15(1): 10-18, 1992

Early Mobilizing Treatment for Grade III Ankle Ligament Injuries Konradsen L, Holmer P, Sondergaard L: Foot & Ankle 12(2): 69-73, 1991

Functional Treatment with a Pneumatic Ankle Brace versus Cast Immobilization for Recent Ruptures of theFibular Ligament in Ankle Klein J, Rixen D, Albring TH, et al: Unfallchirurg 94: 99-104, 1991

Treat Ankle Sprains Fast - It Pays Rettig AC, Kraft DE: Your Patient & Fitness 4(4): 6-9, 1991

Ankle Compression Variability using the Elastic Wrap,Elastic Wrap with a Horseshoe, Edema II Boot, and Air-Stirrup Brace MacLeod-Duffley H, Knight KL: AthleticTrainer 24(4): 320-323, 1989

Comparative Study of Functional Bracing and Plaster CastTreatment of Stable Lateral Malleolar Fractures Stuart PR, Brumby C, Smith SR: Injury 20(6): 317-320,1989

Gait Comparison of Subjects with Hemiplegia WalkingUnbraced, with Ankle-Foot Orthosis, and with Air-StirrupBrace Burdett RG, Borello-France D, Blatchly C, et al: PhysicalTherapy 68(8): 1197-1203, 1988

A Biomechanical Study of the Stabilization Effect of theAircast Ankle Brace Stuessi E, Tiegermann V, Gerber H, et al: Biomechanics X-A International Series 6A: 159-164, 1987

Comparison of Support Provided by Ankle Taping andSemirigid Orthosis Gross MT, Bradshaw MK, Ventry LC, et al: Journal ofOrthopedic Sport Physical Therapy 9(1): 33-39, 1987

Effect of the Air-Stirrup in Controlling Ankle InversionStress Kimura IF, Nawoczenski DA, Epler M, et al: Journal ofOrthopedic Sport Physical Therapy 9(5): 190-193, 1987

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Functional Treatment of Severe Ankle Sprain Fritschy D, Junet Ch, Bonvin JC: J Traumatol Sport 4(3): 131-136, 1987

Air-Stirrup Management of Ankle Injuries in the Athlete Stover CN: Am J Sports Med 8(5): 360-365, 1980

Aircast/Air-Stirrup System for Graduated Management of Lower Extremity Injuries Stover CN, York JM: Scientific Exhibit Paper, AAOS, San Francisco, 1979

Leg Brace ReferencesThe Use of a Pneumatic Leg Brace in Soldiers with Tibial Stress Fractures-A randomized Clinical TrialChristopher S Allen; Timothy W Flynn; Joseph R Kardouni; Mae H Hemphill; et al: Military Medicine 69 (11):880-883, Nov 2004

Conservative Therapy for Acute Lateral Ligament Lesions: Single Chamber vs. Two-Chamber OrthosisSystems Schmidt R, Meiners S, Reintges H, et al: Surgery Dept of the Federal Army Hospital, Ulm, Germany, 1999Summary:

The Effect of a Pneumatic Leg Brace on Return to Play in Athletes with Tibial Stress Fracture Swenson EJ, DeHaven KE, Sebastianelli WJ, et al: Am J Sports Med 25(3): 322-328, 1997

A Pneumatic Leg Brace for the Treatment of Tibial Stress Fractures Whitelaw G, Wetzler MJ, Levy AS, et al: Clinical Orthopedics and Related Research 270: 301-305, 1991

Functional Management of Stress Fractures in Female Athletes Using a Pneumatic Leg Brace Dickson TB, Kichline PD: Am J Sports Med 15(1): 86-89, 1987

AirHeel ReferencesEccentric exercises for the management of tendinopathy of the main body of the Achilles tendon with orwithout the AirHeel™ Brace. A randomized controlled trial. Effects on pain and microcirculation, Knobloch et al., Disabil. & Rehabil., July 2008.

Chronic Achilles Tendinopathy. A Prospective Randomized Study Comparing the Therapeutic Effect ofEccentric Training, the AirHeel Brace, and a Combination of Both. Petersen W et al. The Am J of Sports Med June 14, 2007

The Efficacy of a Pneumatic Compression Device in the Treatment of Plantar Fasciitis. Kavros S J. J App Biomechanics 21(4): 404-413, 2005

A Prospective Evaluation of the Pneumatic Achilles Wrap for Treatment of Acute and Subacute TendonitisMimms TT, Badekas A, Ottey DCK, Schon LC: Union Memorial Hospital, MD, 1999

AirLift PTTD Brace ReferenceCan a New Brace Offer Relief for PTTD? L. Grant. Podiatry Today, March 2010

Effects of the AirLift PTTD Brace on Foot Kinematics in Subjects With Stage II Posterior Tibial TendonDysfunction Neville et al., JOSPT March 2009

A Radiographic Analysis Of Posterior Tibial Tendon Dysfunction Bracing, For Adult Acquired Flat FootDeformity.Burston et al., Presented at BOA conference, Sept. 2008.

Solving problems presented by patients with diabetes, hindfoot varus or valgus, metatarsalgia and otherconditions considered. ORTHOPEDICS TODAY 25: 16, 2005

Jump Brace ReferenceSystematic Review of the Parachute Ankle Brace Injury Risk Reduction and Cost Effectiveness Knapik et al. 2010, Am J Prev Med

Injury Risk Factors in Parachuting and Acceptability of the Parachute Ankle Brace Knapik et al. Aviation, Space, and Environmental Medicine, July 2008,

Parachute Ankle Brace and Extrinsic Injury Risk Factors During Parachuting Knapik et al. Aviation, Space, and Environmental Medicine, Vol. 79, No. 4, pp. 408-415, April 2008

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Walking Brace

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Wolff’s Law states that bone will adapt to the loads it is placed under. If the loading on a bonedecreases, the bone will become weaker due to turnover1. The same applies to soft tissuesunder Davis's Law. Patients who undergo 6-8 weeks cast immobilization after foot and anklefractures, their calf muscle size and force are reduced by 20%-32% and 40-53% respectively.This can only be reversed with 10 weeks of supervised physical therapy2,3. Aircast WalkingBraces are preferred over casts for foot and ankle fractures and severe ankle sprains, because:

• The mean time from surgery to return to work was significantly lower (50% faster)Egol et al.: 2000

• Earlier return to full weight bearing and daily activities: 43-73% earlier4,5 and shorterhospital stay – 3 days5

• Yields a stronger healed fracture than does a traditional cast... Dale PA,et al: 1993, Park FH 2003

• Resulted in a significantly diminished incidence of lower extremity atrophy andosteoporosis kalish SR, et al: 1987, Kadel NJ, et al: 2004

1. Wolff J., Berlin Heidelberg: New York: Springer, 1986 2. Shaffer MA et al., PHYS THER 80(8): 769-780, 2000 3. Nightingale EJ et al., Clinical Orthopaedicsand Related Research 456: 65-69, 2007 4. Swenson EJ et al., Am J Sports Med 25(3): 322-328, 1997 5. Simanski CJP et al., J Orthop Trauma 20(2): 108-114,2006 Refer to page 15 for other references

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• Provides pneumatic sup-port with full-shell protec-tion.

• Four aircells line the semi-rigid shell for pneumaticsupport, comfort and protection.

• Includes a hand bulb toadjust aircell compressionand two socks.

XP Pneumatic Walker™

Indication: Stable foot and/or ankle fracture; Severe anklesprain; Post-operative use

Shoe Size Description (US) (Europe) P/NPaediatric* <4 < 5 01P-PSmall man: 4–7 35–38 01P-S

women: 5-8Medium man: 7-10 39–42 01P-M

women: 8-11Large man: 10-13 43–45 01P-L

women: 11-15Extra Large* >13 >45 501P-XL

SP Pneumatic Walker™

• A short pneumatic walk-ing brace specificallydesigned for foot injuries.

• The cushioning from thefoam liner and aircellsallow for comfortableambulation with superioroedema reduction.

• Easy application and sim-ple adjustments helpaccommodate both dress-ing and swellingchanges.

Shoe Size Description (US) (Europe) P/NSmall man: 4-7 <39 01A-S

women: 5-8Medium man: 7-10 39–43 01A-M

women: 8-11Large man: 10-13 >43 01A-L

women: 11-15

Indication: Metatarsal fracture; Forefoot, Midfoot, andHindfoot injury; Acute or post-operative use; Bunionectomy;Soft tissue injury; Severe ankle sprain

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*Paediatric and Extra Large sizes are custom made and available upon request.

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• Order XP, FP or SP walkerswith Heel Supports,

• Designed for post-op treat-ment in addition to percutaneous and openachillorrhaphy.

• The brace can be fittedimmediately after operation.

• Five heel supports in varioussizes provide additionalAchilles tendon protection.

3 heels : 22°2 heels : 16°1 heel :10°

Achilles Walker - Heel Supports

Indication: Post-op percutaneous; Open achillorrhaphy

Description Left Right

Heel Supports 01K-L 01K-R

Hygiene Cover (Ped/S, M/L, XL) 0130A-x

Toe Cover (Ped/S, M/L/XL) 01T-x

Brace-Lok™ 01P414

Tube Stretch Sock, Universal 0129A

Replacement Pump 0120/1120SC

Aircast Weather Cover (Short Walker) 01WXS-x

Aircast Weather Cover (Long Walker) 01WXT-x

Indication: Stable foot and/or ankle fracture; Severe anklesprain; Post-operative use

FP Pneumatic Walker™

• A cost-effective walkingbrace that provides semi-pneumatic support.

• The protective semi-rigidshell houses two distal air-cells that provide com-pression and support.

Shoe Size Description (US) (Europe) P/NPaediatric* <4 < 35 01F-PSmall man: 4–7 35–38 01F-S

women: 5-8Medium man: 7-10 39–42 01F-M

women: 8-11Large man: 10-13 43–45 01F-L

women: 11-15Extra Large* >13 >45 01F-XL

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*Paediatric and Extra Large sizes are custom made and available upon request.

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Indication: Stable foot and/or ankle fracture; Severe anklesprain; Post-operative; Charcot foot; Ulcer in malleolus, hind-foot and heel

Description P/N

Hand Bulb with Pressure Gauge 01PG

Brace-LoksTM (10/pk) 01P414

XP Walker Replacement Kit Size

Small 01R-SMedium 01R-MLatge 01R-L

XP Pneumatic Walker™ Diabetic System Hand Bulb with Pressure Gauge• Specifically designed to

meet the needs of the diabetic patient.

• It is an ideal alternative tototal contact casting.Includes: one XPPneumatic Walker™ forDiabetics, two insoles(one ImpaxTM Grid andone Plastizote to helpeliminate Pressure Points), three stockings, one handbulb with pressure gaugeand three brace loksTM.

Specialized for measuringaircell compression. For usewith Pneumatic Walker™ forDiabetics.

XP Diabetic Walker Replacement KitDesigned for use with XPDiabetic Walker System.Incudes: one insole andone stocking.

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Shoe Size Description (US) (Europe) P/NSmall man: 4–7 35–38 01PD-S

women: 5-8Medium man: 7-10 39–42 01PD-M

women: 8-11Large man: 10-13 43–45 01PD-L

women: 11-15

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PneumaticWalker ReferencesTreatment of Charcot foot and ankle with a prefabricated removable walker brace and custom insoleVerity et al., Foot and Ankle Surgery, 2007.

The Efficacy of Two Methods of Ankle Immobilization in Reducing Gastrocnemius, Soleus, and Peroneal Muscle Activity During Stance Phase Gait Kadel NJ, Segal A, Orendurff M, et al: Foot & Ankle International 25(6): 406-409, 2004

Pneumatic Bracing and Total Contact Casting Have Equivocal Effects on Plantar Pressure Relief Hartsell HD, Fellner C, Saltzman CL: Foot & Ankle International 22(6): 502-506,2001

A Comparison Study of Plantar Foot Pressure in a Standardized Shoe, Total Contact Cast and Prefabricated Pneumatic Walking Brace. Baumhauer JF, Wervey R, McWilliams J, et al: Foot and Ankle Int 18(1): 26-33, 1997

An Alternative Method for Reducing Plantar Pressure in Neuropathic Ulcers Myerly SM, Stavosky JW: Adv Wound Care 10(1): 26-29 1997

A Comparison of Weightbearing Pressures in Various Postoperative Devices Glod DJ, Fettinger P, Gibbons RW: J Foot and Ankle Surg 35(2): 149-154, 1996

The Aircast Walking Brace versus Conventional Casting Methods Kalish SR, Pelcovitz N, Zawada S, et al: J Am Podiatric Med Assoc 77(11): 589-595, 1987

Aircast/Air-Stirrup System for Graduated Management of Lower Extremity Injuries Stover CN, York JM: Scientific Exhibit Paper, AAOS, San Francisco, 1979

Achilles Walker ReferencesCurrent Concepts in Achilles Tendon Rupture ESSKA, DJO Publications, 2009

Functional management of Achilles tendon rupture: A viable option for non-operative managementS. Karkhanis et al. Foot Ankle Surg 2009

Potential Risk of Rerupture in Primary Achilles Tendon Repair in Athletes Younger Than 30. Arthur C. et al, Am J Sports Med 33: 119-123, 2005

The relative stress on the Achilles tendon during ambulation in an ankle immobiliser: implications for rehabilitation after Achilles tendon repairK H Akizuki, et al, Br J Sports Med 35:329-334, 2001

DiabeticWalker ReferencesUse of Pressure Offloading Devices in Diabetic Foot UlcersSTEPHANIE C. WU et al., DIABETES CARE, Vol. 31, No 11, NOVEMBER 2008

A Randomized Trial of Two Irremovable Off-Loading Devices in the Management of Plantar Neuropathic Diabetic Foot Ulcers Katz IA, Harlan A, Miranda-Palma B, Prieto-Sanchez L, Armstrong DG, Bowker JH, Mizel MS, Boulton AJ: Diabetes Care 28(3): 551-554, 2005

Technique for Fabrication of an "Instant Total Contact Cast" for Treatment of Neuropathis Diabetic Foot Ulcers Armstrong DG, Short B, Espensen EH, Abu-Rumman PL, Nixon BP, Boulton AJ: J Am Podistric Med Asso 92: 405-408, 2002

Pneumatic Bracing and Total Contact Casting Have Equivocal Effects on Plantar Pressure ReliefHartsell HD, Fellner C, Saltzman CL: Foot & Ankle International 22(6): 502-506, 2001

A Comparison Study of Plantar Foot Pressure in a Standardized Shoe, Total Contact Cast and Prefabricated Pneumatic Walking Brace.Baumhauer JF, Wervey R, McWilliams J, et al: Foot and Ankle Int 18(1): 26-33, 1997

An Alternative Method for Reducing Plantar Pressure in Neuropathic UlcersMyerly SM, Stavosky JW: Adv Wound Care 10(1): 26-29 1997

A Comparison of Weightbearing Pressures in Various Postoperative DevicesGlod DJ, Fettinger P, Gibbons RW: J Foot and Ankle Surg 35(2): 149-154, 1996

The Diabetic Foot with Synovial CystBrenner MA, Kalish SR, Lupo PJ, et al: Cutis 46: 142-144, 1990

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Upper Extremity Brace

Aircast upper extremity braces are designed to provide optimal support and protection with superior fit andcomfort to encourage healing through functional management.

The new StabilAir wrist fracture brace is designed to revolutionize the recovery phase of a distal radiusfracture with immobilization and protection. It is lightweight, waterproof, and conforms to thepatient's arm through inflated internal aircells. The StabilAir can replace the use of plaster backslab splints, short-arm casts, and a variety of post-op braces.

The new A2 wrist braces is integrated with dual stabilizers or "stays" to help maintain aneutral (straight) wrist and features a special Breathe-O-Prene breathable liner. It offerssuperior comfort and support for the post operative treatment of wrist and thumb injuries.

The new Arm Immobilizer has a unique off-loading shoulder strap that is designed toremove strain from the neck caused by the weight of the injured limb. The under arm strapis designed to lock the arm to restrict posterior motion which can cause pain anddiscomfort. It is appropriate for use with a wide variety of ailments surrounding the wrist tothe shoulder.

The Mayo Clinic Elbow Brace provides static stretch of the elbow in flexion and extensionand allows a range-of-motion (ROM) therapy.

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• Flexible dorsal shell withtwo integrated,adjustable aircells to givecustom fit.

• Rigid volar shell withcontoured pad protectsand stabilizes the wristwhile promotes full fin-ger dexterity.

• Lightweight, ventilateddesign enhances com-fort.

• Dual stabilizers restrict wristmovement while permit-ting full finger function.

• Contoured shape andbreathable fabric promotecomfort.

• Reverse center strap andadjustable straps ensurepersonalized fit.

• Available with Thumb Spicato hold thumb securely inplace

StabilAir™

Indication:• Wrist and thumb injuries (ligament instability, sprain or

muscle strain)• Carpal tunnel syndrome• Post-op; post-removal of casting or splint

Indication:

• Stable distal radius fractures and scaphoid fractures; post-operative application

A2™ Wrist Brace

Description Wrist Circumference (cm) Left Right

Small 12.7 - 16.5 05FSL 05FSR

Medium 15.9 - 19.7 05FML 05FMR

Description P/N

Brace-LoksTM (10/pk) 01P414

Description Wrist Circumference (cm) Left RightSmall 12.7 - 16.5 05WSL 05WSRMedium 15.9 - 19.7 05WML 05WMRLarge 19 - 22.9 05WLL 05WLRSmall with Thumb Spica 12.7 - 16.5 05WTSL 05WTSRMedium with Thumb Spica 15.9 - 19.7 05WTML 05WTMRLarge with Thumb Spica 19 - 22.9 05WTLL 05WTLR

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Indication:

Post-op and injuries of the shoulder

Proximal humerus, AC joint, or clavicle fractures in accept-able position

Arm Immobilizer• Innovative adjustable tri-

strap design customizes fitwhile restricts posteriormovement and helps off-load pressure from theneck area to reduce pain.

• Arm sling can be easilyopened for protectedcontrolled motion.

• Durable mesh fabric helpskeeps wearer cool anddry.

• Designed for left or right.• Available with Abduction

Pillow

Description Arm Length P/N

Medium <26.7 cm 06GM

Medium with Abduction Pillow <25 cm 06GMA

Large >25 cm 06GL

Large with Abduction Pillow >24 cm 06GLA

Indication: Epicondylitis

Description Circumference P/N

Beige 20–35.5 cm 05A

Black 20–35.5 cm 05A-B

Armband• Using an aircell, concen-

trates compression on the extensor muscle, notaround the arm — provid-ing more support, less constriction.

• Available in beige andblack. Universal fit.

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Indication: Fracture dislocation; bicep/tricep tendon rupture;ulnar nerve transposition; total elbow arthroplasty; ligamentrepair; radial fixation; osteoarthritis; epicondylitis

Description Left RightMayo Clinic Elbow Brace 05E-L 05E-R

Mayo Clinic Elbow BraceProvides static stretch of the elbow in flexion andextension. Replaces theneed for two braces forelbow contractures andeliminates the need for serial casting for elbowreconstructions and acutefracture dislocations.

MAYO, MAYO CLINIC, and MAYO CLINIC ELBOW BRACE are trademarks of MAYO Foundation for Medical Education and Research.

Indication: Pronation control with lateral collateral ligamentinjuries/repairs and pronation contarctures. Supination con-trol is ideal for medial collateral ligament injuries/repairs andsupination contractures.

Description P/NARC Forearm Rotational Brace 05E-W

ARC™ Forearm Rotational Brace• An adjustable rotational

control brace designed tocontrol pronation andsupination of the elbowjoint when used with theMayo Clinic Elbow Brace.

• It consists of four compo-nents:

- Bottom (volar) wrist support

- Top (dorsal) wrist support

- Pronation/supination strap

- D-ring strap

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Armband ReferencesEfficacy of Nonoperative Treatment for Lateral EpicondylitisBowen RE, Dorey FJ, Shapiro MS: Am Journal of Orthopedics: 642-646, August 2001

Effect of Standard and Aircast Tennis Elbow Bands on Integrated Electromyography of Forearm Extensor Musculature Proximal to the Bands.Epler M, Snyder-Mackler L: Am Journal of Sports Med, 17(2): 278-281, 1989

Mayo Clinic Elbow Brace Recommended ResourcesThe Elbow and It’s Disorders 3rd Edition. Saunders. Morrey BF, 2000

Master’s Techniques in Orthopedic Surgery, The Elbow. Second edition. Lippincott Williams & Wilkins. Morrey BF, 2002

The column procedure: A limited lateral approach for extrinsic contracture of the elbow. Mansat P, Morrey BF: JBJS 80A(11): 1603–1615, 1998

Operative treatment of elbow contracture in patients twenty-one years of age or younger. Stans AA, Maritz NGJ, O'Driscoll SW, Morrey BF. JBJS 84A(3): 382–387, 2002

The Technique and Efficacy of Axillary Catheter Analgesia as an Adjunct to Distraction. Elbow Arthroplasty: A Prospective Study. Stinson LW Jr, Lennon RL, Adams RA, Morrey BF. JSES 2(4): 182–189, July/August 1993

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The Aircast Cryo/Cuff combines focal compression with cold to provide optimal control of swelling, oedema,haematoma, haemarthrosis, and pain. Simplicity of design and ease of operation makes it ideal for the emergency room, post-op, training room and home.

The Cryo/Cuff is both simple and effective consisting of only two basic parts: cooler and cuff. The cooler is filledwith tap water and ice, the cuff is applied and connected to the cooler, and the cooler is lifted above the cuff.Soothing cold water envelopes the affected area reducing swelling and providing relief from pain. The coolermay be detached from the cuff at any time during treatment without interruption of cryotherapy. Studies haveshown that with the use of the Cryo/Cuff, patientsrequire less analgesics and have a faster return tofunction. In addition, because the cold and com-pression are controlled, there is no known risk offrost bite.

Cryo/CuffTM — Cryo-Compression Therapy

21

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Cryo/CuffT® ICCryo/CuffTM Cooler

Cyr

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AutoChill® System 20BE, 20BG-EDesigned for use with the Cryo/Cuffto automatically exchange warmcuff water for chilled cooler water.Includes a pump, 1.5 m air tubeassembly, and wall adapter.

Description P/NCooler 2125Cooler Hanger 2140System 20BE (UK) 20BESystem 20BG-E (Europe) 20BG-E

System: 20BE 20BG-E

Plug

Pattern

The new Cryo/Cuff IC com-

bines focused compression

with cold therapy to provide

optimal control of swelling to

minimize hemarthrosis,

edema and pain.

• 30 second on/off cycle - Provides automatic intermittent compression in addition to cold therapy

Description P/NCryo/Cuff IC Cooler 52ACryo/Cuff IC Power Supply 25-2740Cryo/Cuff IC Lid 25-0238Tube Assembly 2130

After the cooler is filled with water and ice itis ready for connection to any AircastCryo/Cuff model. Includes a tube assembly.

Simplicity of design and ease of operationmakes it ideal for post-operative recovery,trauma, athletic training rooms and homeuse.

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Anatomically designed cuffprovides complete foot coverage.

Foot Cryo/CuffTM

Indication: Turf toe; Post-op

Circumference

Description of Foot P/N

Small Cuff only 18–23 cm 10D01

Medium Cuff only 23–33 cm 10C01

Large Cuff only 25–43 cm 10B01

Ankle Cryo/CuffTM

Indication: Acute sprains; Trauma; Post-op; Rehabilitation

One-size for adults. Alsoavailable in paediatric size(see Paediatric AnkleCryo/Cuff).

Description P/N

Cuff only 10A01

23

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24Indication: Trauma; Post-op; Rehabilitation; Sports injuries Indication: Trauma; Post-op; Rehabilitation; Sports injuries

Knee Cryo/CuffTM Knee Cryo/CuffTM SC (without cooler)

Available in three adultsizes. Also available in paediatric size (seePaediatric Knee/ElbowCryo/Cuff).

A totally self-contained cuffthat is filled directly withwater and ice — no coolerrequired. A hand bulb isincluded for cuff inflation.

Circumference of Leg

Description (15 cm above patella) P/N

Small Cuff only 25–50 cm 11C01

Medium Cuff only 45–60 cm 11A01

Large Cuff only 50–80 cm 11B01

Description P/N

Cuff (self contained) 11A01SC

Cyr

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Designed specifically for calfapplication.

Calf Cryo/CuffTM

Indication: Acute injury; Sports injuries

Thigh Cryo/CuffTM

Indication: Stress fractures; Sports injuries

Designed specifically forthigh application.

Circumference

Description of Thigh P/N

Standard Cuff only 43–58 cm 13A01

Large Cuff only 51–69 cm 13B01

Circumference

Description of Calf P/N

Cuff only 36–51 cm 13C01

25

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26Indication: Carpal tunnel syndrome; Tendonitis; Post-op;Sports injuries Indication: Epicondylitis; Post-op; Sports injuries

Hand and Wrist Cryo/CuffTM Elbow Cryo/CuffTM

One size. Cuff covers bothhand and wrist. Includestwo removable support barsthat can be removed if awider range of motion isdesired.

One-size for adults. Alsoavailable in paediatric size(see Paediatric Knee/ElbowCryo/Cuff).

Description P/N

Cuff only 15A01

Description P/N

Cuff only 16A01

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Can be ordered with anextra long strap to adapt toa larger chest circumfer-ence.

Shoulder Cryo/CuffTM

Indication: Trauma; Post-op; Rehabilitation; Sports injuries

Back/Hip/Rib Cryo/CuffTM

Indication: Chronic/acute pain; Post-op; Sports injuries

Universal fit. Versatiledesign may be applied toeither the back, hip, or rib.Includes removable supportbar for variable support.

Description P/N

Cuff only 14A01

Circumference

Description of Chest P/N

Cuff only 81–122 cm 12A01

Cuff with Extra Large Strap only 107-137 cm 12AXL01

Strap only 1220

Extra Large Strap only 1220XL

27

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28Indication: Acute sprains; Trauma; Post-op; Hemophilia hem-orrhage; Rehabilitation

Indication: Trauma; Post-op; Hemophilia hemorrhage;Rehabilitation

Paediatric Ankle Cryo/CuffTM Paediatric Knee/Elbow Cryo/CuffTM

Designed for children ages1–7. Also available in anadult model (see AnkleCryo/Cuff).

Designed for children ages 1–7, theversatile cuff design can be appliedto either the knee or elbow. Alsoavailable in adult sizes (see KneeCryo/Cuff and Elbow Cryo/Cuff).

Description P/N

Cuff only 10P01

Description P/N

Cuff only 11P01

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Cryo/Cuff ReferencesPractice of Arthroscopic Surgery Kam-Min CHAN, Prof. Ke-Rong DAI, People’s Medical Publication House, p770, 816, 2009

Midportion Achilles Tendon Microcirculation After Intermittent Combined Cryotherapy and Compression Compared With Cryotherapy Alone. A Randomized TrialKnobloch et al. AJSM, July 2008.

Domiciliary application of CryoCuff in severe haemophilia:qualitative questionnaire and clinical auditYoung. Haemophilia May 2008

Postoperative Cryotherapy after Total Knee Arthroplasty Kullenberg. et al., J. of Arthroplasty, 21(8) 1175-1179. 2006

Knobloch K, et al: Microcirculation Ankle After Cryocuff. Int J Sports Med 26: p1-6, 2005

Todd A. et al: Intra-articular Knee Temperature Changes: Ice Versus Cryotherapy Device. Am J Sports Med 32(2): 411-445, 2004

The Role of Pulsatile Cold Compression in Edema Resolution Following Ankle Fractures: A Randomized Clinical Trial Mora S, Zalavras CG, Wang L, Thordarson DB. Foot & Ankle International 23(11): 999-1002, 2002

Martin SS, Spindler HP, Tarter JW, et al: Cryotherapy: An Effective Modality for Decreasing Intraarticular Temperature after Knee Arthroscopy. Am J Sports Med, 29(3): 288-291, 2001

Cold and Compression in the Treatment of Athletic Injuries Meeusen R, van der Veen P, Harley S: Am J Med Sports, 3: 166-170, 2001

Cryotherapy: An Effective Modality for Decreasing Intraarticular Temperature after Knee Arthoscopy Martin SS, Spindler KP, Tarter JW, et al: Am J of Spts Med, 29(3): 288-291, 2001

Conservative Treatment of Degenerative Joint Disease of the Knee Using Cold Compression Therapy Shelbourne KD, Stube KC, Patel DV. Sports Exercise and Injury 2: 176-180, 1996

The Use of the Cryo/Cuff versus Ice and Elastic Wrap in the Postoperative Patients Whitelaw GP, DeMuth KA, Demos HA, et al. Am J of Knee Surgery 8(1): 28-31, 1995

Schroder D, Pässler HH: Combination of cold and compression after knee surgery. Knee Surg, Sports Traumatol, Arthroscopy 93: 1-8, 1994

Knee Pressure Dressings and Their Effects on Lower Extremity Venous Capacitance and Venous Outflow Mindrebo N, Shelbourne KD. Orthopaedics International Edition 2(3): 273-280, 1994

Photograph courtesy of Freddie H. Fu, M.D.

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Cyr

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Postoperative Cryotherapy for the Knee in ACL Reconstructive Surgery Shelbourne KD, Rubinstein RA, et al. Orthopaedics International Edition 2(2): 165-170, 1994

Use of Cryotherapy for Orthopaedic Patients McDowell JH, McFarland KG, Nalli BJ. Orthopedic Nursing, 13(5): 21-30, 1994

Perioperative Rehabilitation Considerations Klootwyk TE, Shelbourne KD, DeCarlo MS. Operative Techniques in Spts Med 1(1): 22-25, 1993

The Role of Cold Compression Dressings in the Postoperative Treatment of Total Knee Arthroplasty Levy AS, Marmar E. Clin Orthopaedics and Related Research (CORR) 297: 174-178, 1993 Effect of the Cryo/Cuff Knee Compression Dressing and an Elastic Wrap on Swelling of the Calf. Aircast Inc., 1991

Current Concepts in Anterior Cruciate Ligament Rehabilitation Shelbourne KD, Wilckens JH. Orthopaedic Review 19(11): 957-964, 1990

Duffley H, Knight K: Ankle Compression Variability Using the Elastic Wrap, Elastic Wrap with a Horseshoe, Edema II Boot, and Air-Stirrup Brace. Athletic Training 24: 320-323, 1989

Shelbourne KD: Post-surgical use of the Cryo/Cuff Knee Compression Dressing, Protocol. Indianapoils, Methodist Sports Medicine Center, 1989

Drez D, Faust DC, Evans JP: Cryotherapy and Nerve Palsy. Am J Sports Med 9: 256-257, 1981

Husni E, Ximenes J, Hamilton F: Pressure Bandaging of the Lower Extremity, Use and Abuse. JAMA 206:2715-2718, 1968

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Deep vein thrombosis (DVT) prevention demands accelerated venous velocity that matches the natural venouspump. Rapid, graduated sequential compression provided by the Aircast VenaFlow® system is the solution.

The VenaFlow system unites two proven methods for superior venous acceleration: graduated sequential compression and rapid impulse inflation. This combination helps prevent thrombus formation by increasingvenous ejection while producing more shear stress to enhance fibrinolysis.

The universal VenaFlow pump is designed to operate with any of the three VenaFlow cuff styles: calf, foot andthigh. Each cuff style is manufactured from light, cool, hypoallergenic fabric that remains cool against the skin.

Aircast pioneered graduated, pneumatic compression for functional management of orthopaedic injuries.The ArterialFlow® system evolved from this unique experience, and from performance principles established byearlier researchers in pneumatic compression.

ArterialFlow provides intermittent pneumatic compression of the extremities for management of vascular disorders including ulcers associated with ischemic disease. This graduated, sequential, compression acceleratesarterial velocity and enhances fibrinolysis.

Vascular Systems

31

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VenaFlow® SystemA prophylaxis for deep vein

thrombosis. Uses a

combination of rapid

inflation with graduated

sequential compression to

significantly increase venous

velocity. Includes a pump

and tube assembly.

System: 30AE 30AG 30AE-SA

Plug

Pattern

Vas

cula

rSy

stem

sDescription Size P/N

Tube Assembly Regular 1.7m 3008

Tube Assembly XL 2.6m 3008XL

Tube Assembly XXL 3.2m 3008XXL

Tube Assembly XXXL 3.8m 3008XXXL

Optional Battery Pack

VenaFlow® EliteThe new VenaFlow® Elite is

identical in performance to the

standard VenaFlow® system. The

Elite is smaller in design than the

standard VenaFlow® unit, and

also comes with a telescoping

bed hanger.

Description P/NVenaFlow Elite System, International 30BIVenaFlow Elite Calf Cuff 3040VenaFlow Elite XL Calf Cuff 3042VenaFlow Elite Thigh Cuff 3045VenaFlow Elite Foot Cuff 3046

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Each style cuff, Calf, Foot, or Thigh, can be used with the VenaFlow system to provide superior asymmetric compression for maximal blood velocity and flow. For single patient use only.

Features: • Light, cool, comfortable for increased patient compliance • Hypoallergenic — may be placed directly against the skin• Easy to apply and remove

VenaFlow® Cuffs (Calf, Foot, Thigh)

Description Quantity P/NCalf Cuff 2 3010Extra Large Calf Cuff 2 3012Thigh Cuff 2 3015Foot Cuff 2 3016

Calf Cuff Foot Cuff

Thigh Cuff

33

Description P/NVenaFlow Elite Calf Cuff 3040VenaFlow Elite XL Calf Cuff 3042VenaFlow Elite Thigh Calf Cuff 3045VenaFlow Elite Foot Cuff 3046

Cuff to be used with VenaFlow® System only Cuff to be used with VenaFlow® Elite System only

Calf Cuff Foot Cuff

Thigh Cuff

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34Indication: Management of vascular disorders includingulcers associated with ischemic disease

ArterialFlow® SystemThe ArterialFlow systemaugments arterial flow and microcirculation withpulsatile compression of the calf. Doppler tests at the popliteal artery showsignificant increase in arterial velocity followingeach pressure pulse. Theresponse is greater with the patient sitting.

ArterialFlow System for UK

Description: P/N

32AE ArterialFlow System 32AE

Includes:

Pump 3201E

AC Power Cord 3008E

1.7 m Tube Assembly 3007

ArterialFlow System for Continental Europe

Description: P/N

32AG ArterialFlow System 32AG

Includes:

Pump 3201G

AC Power Cord 3008G

1.7 m Tube Assembly 3007Components and Accesoiress

Description Length P/N

ArterialFlow Cuff (u.o.m. is pair) 3210

Tube Assembly Regular 1.7 m 3007

Tube Assembly XL 2.6 m 3007XL

Tube Assembly XXL 3.2 m 3007XXL

System: 32AE 32AG

Plug

Pattern

ArterialFlow System ReferencesUse of Intermittent Pneumatic Compression in the Treatment of Upper ExtremityVascular Ulcers.Pfizenmaier DH, Kavros SJ, Liedl DA, et al: International Angiology 56(4): p417-422,2005

The Effect of Lower Extremity Amputation Level with the use of an IntermittentCompression Pump in the High Risk Foot. The Mayo Clinic Experience (1998 -2004). Kavros SJ, Turner NS, Voll AE, et al: Mayo Clinic, Rochester MN, 2004

Roskos MC: Department of Surgery, Franciscan Skemp Healthcare, Mayo HealthSystem, March, 2003

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VenaFlow System ReferencesPneumatic Compression Devices Are an Effective Therapy for Restless Legs Syndrome. A Prospective, Randomized, Double-Blinded, Sham-Controlled Trial Lettieri et al., Chest January 2009

Rapid-Inflation Intermittent Pneumatic Compression for Prevention of Deep Venous ThrombosisEisele et al., JBJS Am. Vol. 89, Nr. 5, pp. 1050-1056, May 2007

Thromboembolic Disease Prophylaxis in Patients With Hip Fracture: A Multimodal Approach Westrich, G H. J Orthop Trauma 19 (4): 234-240, 2005

Prophylaxis for deep venous thrombosis in Craniotomy patients: a decision analysis Danish SF, Burnett MG, et al: Neurosurgery 56:1286-1294, 2005

Two mechanical devices for prophylaxis of thromboembolism after total knee arthroplasty. A prospective, randomised study.Lachiewicz PF, et al. J Bone & Joint Surg 86(8): 1137-1141, 2004

Mechanical prophylaxis of deep-vein thrombosis after total hip replacement: a randomised clinical trial.Pitto R P, Hamer H, Heiss-Dunlop W, Kuehle J: J Bone Joint Surg Br 86(5): 639-42, 2004

Prevention of deep-vein thrombosis after total hip and knee replacementSilbersack Y, Taute BM, Hein W, Podhaisky H: J Bone Joint Surg 86-B: 809-812, 2004.

Asprin plus Venaflow vs. Lovevnex plus Venaflow for DVT prophylaxis in TKA patients Westrich G H, Sculco T, et al: Journal of Arthroplasty 19(2): February 2004

Improved venous return by elliptical, sequential and seamless air-cell compression Labropoulos N, Oh DS, Golts E, et al: International Angiology 22(3): 317-321, 2003

Prevention of Venous Thromboembolism in the ICU Geerts W, Selby, R: CHEST 124(6): 357S-363S, 2003

Prospective, Randomized Study of Two Intermittent Pneumatic Compression Devices for DVT Prophylaxis After Total Knee Arthroplasty Lachiewicz PF: Presented at AAOS, Hip and Knee Society, Specialty Day, San Francisco, CA, 2004 and at the Knee Society, Chicago, Illinois, 2003

Effect of Mechanical Compression on the Prevalence of Proximal Deep Venous Thrombosis as Assessed by Magnetic Resonance Venography Ryan MG, Westrich GH, Potter HG, et al: J Bone Joint Surg 84-A(11): 1998-2003, 2002

Prophylaxis Against Venous Thromboembolic Disease in Patients Having a Total Hip or Knee Arthroplasty Sculco TP, Colwell CW, Pellegrini Jr. VD, et al: J Bone Joint Surg 84(3): 466-477, 2002

Current Recommendations for Prevention of Deep Venous Thrombosis Heit JA. Handbook of Venous Disorders 2nd Edition Chapter 23: 224-234, 2001

Evaluation of Intermittent Pneumatic Compression Devices Whitelaw GP, Oladipo OJ, Shah BP, et al: Orthopedics 24(3): 257-261, 2001

An in vitro cell culture system to study the influence of external pneumatic compression on endothelial function Dai G, Tsukurov O, Orkin RW, et al: Journal of Vascular Surgery 977-987, 2000

Evaulation of Thromboembolic Disease Using the VenaFlow Mechanical Compression Device in Orthopedic Surgery Trauma Patients Westrich GH, Jhon P, Helfet DL: New York Presbyterian Hospital, NYC. NY, 2000

Pneumatic Compression Hemodynamics in Total Hip Arthoplasty Westrich GH, Specht LM, Sharrock NE, et al: Clin Ortho and Rel Research 372: 180-191, 2000

Influences of Inflation Rate and Duration on Vasodilatory Effect by Intermittent Pneumatic Compression in Distant Skeletal Muscle 35

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36

Vas

cula

rSy

stem

s

Liu K, Chen LE, Seaber AV, et al: Journal of Orthopaedic Research 17(3): 415-420, 1999

Intermittent Pneumatic Compression of Legs Increases Microcirculation in Distant Skeletal Muscle Liu K, Chen LE, Seaber AV, et al: Journal of Orthopaedic Research 17(1): 88-95, 1999

The Effects of External Compression on Venous Blood Flow and Tissue Deformation in the Lower Leg Dai G, Gertler J, Kamm RD: Journal of Biomechanical Engineering 121: 1-8, 1999

Venous Haemodynamics After Total Knee Arthroplasty. Westrich GH, Specht NE, Sharrock RE, et al: J Bone Joint Surg Br 80: 1057-1066, 1998

Evaluation of Pneumatic Compression Devices and Compression Stockings Boegli S, Fennell C: Middleton Regional Hospital, Ohio, 1998

Prevention of Venous Thromboembolism International Consensus Statement (Guidelines According to Scientific Evidence). London, Med-Orion Publishing Company, 1997

Blood-Flow Augmentation of Intermittent Pneumatic Compression Systems Used for the Prevention of Deep Vein Thrombosis Prior to Surgery Flam E, Berry S, Coyle A, et al: Am J Surgery 171: 312-315, 1996

Prophylaxis against Deep Venous Thrombosis after Total Knee Arthroplasty Westrich GH, Sculco TP: J Bone Joint Surg 78-A(6): 826-834, 1996

Prevention of Venous Thromboembolism: Fourth ACCP Consensus Conference on Antithrombotic Therapy Clagett GP, Anderson FA, Heit JA, et al: Chest 108(4 Suppl): 312S-334S, 1995

The Return of Blood to the Heart: Venous pumps in health and disease Gardner AMN, Fox RH. Second Edition. London, John Libbey and Company Ltd., 1993

Effect of Optimization of Hemodynamics on Fibrinolytic Activity and Antithrombotic Efficacy of External Pneumatic Calf Compression Salzman EW, McManama GP, Shapiro AH, et al: Ann Surgery 206(5): 636-641, 1987

Optimisation of Indices of External Pneumatic Compression for Prophylaxis against Deep Vein Thrombosis: Radionuclide Gated Imaging Studies Kamm R, Butcher R, Froelich J, et al: Cardiovascular Research 20(8): 588-596, 1986

Prevention of Venous Thrombosis and Pulmonary Embolism National Institutes of Health Consensus Development Conference Statement. JAMA 6(2): 744-749, 1986

Bioengineering Studies of Periodic External Compression as Prophylaxis against Deep Vein Thrombosis - Part I: Numerical Studies Kamm RD. J Biomech Engineering 104(I): 87-95, 1982

Bioengineering Studies of Periodic External Compression as a Prophylaxis against Deep Vein Thrombosis - Part II: Experimental Studies on a Simulated Leg Olson DA, Kamm RD, Shapiro AH. J Biomech Engineering 104(II): 96-104, 1982

Intermittent Sequential Pneumatic Compression of the Legs in the Prevention of Venous Stasis and Postoperative Deep Venous Thrombosis Nicolaides AN, Fernanades e Fernandes J, Pollock AV. Surgery 87(1): 69-76, 1980

The Effect of Intermittently Applied External Pressure on the Haemodynamics of the Lower Limb in Man Roberts VC, Sabri S, Beeley AH, et al: Brit J Surg 59(3): 223-226, 1972

OTHER IPC DEVICES REFERENCES

Analysis of the operation of the SCD Response intermittent compression systemRh. J. Morris, et al: J of Medical Engineering & Technology, 26(3): p111- 116, 2002

The Role of Nitric Oxide in Vasodilation in Upstream Muscle during Intermittent Pneumatic CompressionChen LE, Liu K, Qi WN, et al: J Applied Physiology 92(2): 559-566, 2002

Comerota Aj, Katz ML, White JV: Why Does Prophylaxis with External Pneumatic Compression for Deep Vein Thrombosis Fail? Am J Surg, 164: 265-268, 1992

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Knee Immobilizer — designed to stabilize the knee in full extension during post-op rehabilitation.

Knee Tester (Rolimeter™) — an economical, easy-to-use device designed to measure passive anterior andposterior knee joint laxity.

Knee Brace

37

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Description P/NRolimeter 50A

Knee Tester (Rolimeter™)

A cost-effectivearthrometer, designedfor measuring anteri-or and posterior kneejoint laxity. Can besterilized for use inthe sterile operationfield.

Designed for:Lachman test Anterior drawer test “Step Off” test

Stabilizes the knee in fullextension. May be usedwith the Knee Cryo/Cuff TM

to add the benefits of coldand compression.

Knee Immobilizer

Description Leg Length Leg Inseam P/N

Small 58 cm 64–71 cm 07C

Medium 67 cm 69–84 cm 07A

Large 75 cm 81–91 cm 07B

Mis

cella

neo

us

Rolimeter ReferencesAn investigation to examine the inter-tester and intra-tester reliability of Rolimeter Kneetester and its sensitivity in identifying knee laxityJ Hatcher, et al: J of Orthopaedic Research 23(6): p1399-1403, Nov 2005

Clinical Results of Computer-Navigated Anterior Cruciate Ligament ReconstructionsP Valentin, et al: ORTHOPEDICS 28: p1289-1291, Oct 2005L

A New Mechanical Testing Device for Measuring Anteroposterior Knee LaxityA J. Schuster, et al: Am J of Sports Medicine 32(7): 1731-1735, 2004

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CMF OL1000 Bone Growth Stimulator

Description P/N

OL1000 Dual Coil Small 01-201-0001

OL1000 Dual Coil Medium 01-203-0001

OL1000 Single Coil Size 2 01-211-0002

OL1000 Single Coil Size 3 01-211-0003

OL1000 Single Coil Size 4 01-211-0004

OL1000 Dual Coil and OL1000 Single Coil

OL 1000 DC

Features and Benefits• Cost effective and noninvasive• No direct skin contact required• For casted or non-casted applications,

requiring no cut-outs to the cast• Can be used with internal or

external fixation devices• Simple one-button operation• Portable, comfortable, and lightweight• All-in-one device with no messy gels to apply and clean up• Controlled treatment time• LCD displayed treatment time and compliance monitor

Noninvasive treatment of an established nonunion acquiredsecondary to trauma, excluding vertebrae and all flat bones.A nonunion is considered to be established when the fracturesite shows no visibly progressive signs of healing(see prescribing information).

OL 1000 SC Size 3

OL 1000 SC Size 4

OL 1000 SCSize 2

OL 1000 DC

OL 1000 SC

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The Combined Magnetic Field (CMF) signal is the latest evolution of bone growthstimulation science. The 76.6Hz1 CMF frequency is within the optimal 0-150 Hz2,3

frequency range for bone growth stimulation. The CMF sine wave is 1/50th theenergy of older PEMF technology, and operates continuously within the optimalrange of electromagnetic frequencies for bone growth stimulation.

Only CMF bone growth stimulators utilize this advanced CMF technol-ogy, which increases both the specificity and potency of treatment.4,5

COMBINED MAGNETIC FIELD (CMF) SIGNAL

Clinically proven bone healing in only 30 minutes per day

CMF has been proven to stimulate the production of growth factors in osteoblastsand fracture callus in vitro and in vivo.4,5

• The CMF Bone Growth Stimulator was the first bone growth stimulator to receive FDA approval of its mechanism of action in 1994.6

• Published data confirm the effectiveness of CMF on bone healing.8

• Application of the CMF stimulates bone cells and increases growth factor secretion.

• This results in the production of connective tissue, leading to healing.

PROVEN SCIENCE

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In pre-clinical laboratory studies human bone cells and ratfracture callus were grown in a nutrient medium and thenexposed to 30 minutes of CMF. The results are depicted inthe following graphs.

DJO studies, in collaboration with the research lab of Dr.David Baylink at Loma Linda University4,5 show that 30 min-utes of CMF exposure stimulated various osteoblastic cellu-lar functions mediated by the bone cell growth factor,IGF-II. These factors have been shown to influence thehealing process in pre-clinical in vitro laboratory studies.

PROVEN SCIENCE (con't)30 minutes of CMF exposure increasedcellular proliferation of osteoblastic

(%)

Incr

ease

Ab

ove

Co

ntr

ol

200

20

20

40

60

80

100

120

140

160

180

Control CMF

100%

135%

Cellular Proliferation

30 minutes of CMF exposure also increasedIGF-II synthesis in fracture callus cultures.

(%)

Incr

ease

Ab

ove

Co

ntr

ol

200

20

20

40

60

80

100

120

140

160

180

Control CMF

100%

198%

IGF-II Synthesis

CMF OL1000 Postmarket Patient Registry Data9,10

Average time from injury was 15.1 months—Postmarket Registry Data9

Average time from injury was 29.3 month—Premarket Data10

CLINICAL RESULTS

Ankle

By Site

Humerus

Metatarsal

Phalanx (Finger)

Fibula

Femur

Clavicle

Carpal / Metacarpal

Carpal Navicular

110 / 145

Healed # / Total # n/N

103 / 180

58 / 68

160 / 250

79 / 114

35 / 39

154 / 218

75.9%

Outcome Rates

57.2%

85.3%

64.0%

69.3%

89.7%

70.6%

4.7

Average Heal Times (Months)

5.5

408 / 477 85.5% 3.8

21 / 24 87.5% 3.4

4.3

6.4

5.1

5.3

3.9

Phalanx (Toe)

By Site

Ulna

TOTAL (Postmarket)

Tibia / Fibula

Tibia

Tarsal

Radius / Ulna

Radius

22 / 29

Healed # / Total # n/N

77 / 110

122 / 154

285 / 372

51 / 77

14 / 17

81 / 96

75.9%

Outcome Rates

70.0%

79.2%

76.6%

66.2%

82.4%

84.4%

3.7

Average Heal Times (Months)

5.0

1780 / 2370 75.1% 4.9

5.8

6.2

4.3

5.3

5.0

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Bone Growth Stimulation References1. Ryaby, J.T., et al., Biophysical Stimulation of Fracture Healing Mediated by IGF-II

2. McLeod, K.J., Rubin, C.T., The Effect of Low-Frequency Electrical Fields on Osteogenesis. J. Bone Joint Surg., 74A:920-929, 1992

3. Buckwalter, J.A., et al., Orthopaedic Basic Science: Biology and Biomechanics of the Musculoskeletal System, Second Edition. AAOS, 2000

4. Ryaby, J.T., et al., Trans. Orthop. Res. Soc., 19:518, 1994

5. Ryaby, J.T., et al., The Role of Insulin-like Growth Factor in Magnetic Field Regulation of Bone Formation. Bioelectrochemistry and Bioenergetics, 35:87-91, 1994

6. P910066/S005, May 1997

7. Rosch, P.J., Markov, M.S., Bioelectromagnetic Medicine, Marcel Dekker, New York, 2004

8. Linovitz, R.J., et al., Combined Magnetic Fields Accelerate and Increase Spine Fusion. Spine, 27:1383-1388, 2002

9. CMF OL1000 Bone Growth Stimulator Postmarket Patient Registry Data: As of June 30, 1998, the CMF OL1000 had been applied to 5300 patients with physician diagnosed nonunion with varying times from injury, two months or greater. Patient registry data was collected from December 1994 to December 1998. At the time of database closure, we expected follow-up on 4100 patients and received follow-up on 2370 patients (57.8%). Physician diagnosed healing determined patient outcome in the patient registry. All patients were treated for 30 minutes per day, and devices were programmed to provide a maximum of 270 days of treatment.

10. The success rate of 5184 patients in pre-marketing clinical data was 60.7% and was maintained at 2 years post treatment with 90% follow-up of all healed fractures. In the pre-market study non-union was considered to be established when a minimum of nine months had elapsed since injury and the fracture site showed no visibly progressive signs of healing for a minimum of 3 months. Patient success was defined as three out of four corticies bridged on radiographic and no pain or motion at the fracture site. For additional detailed information on pre-market prospective study, contact dj Orthopedics.

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